SLE Application

Student Leadership Experience

Program Information

Program Calendar

Certificates

Office of Student Life

Application Form

Personal Information

Name: _______________________________________________________________________
Last First Middle

Email address: __________________________________________ Birth Date: _____________

Home phone #: ___________________________ Cell or pgr #: _________________________

Academic Program or Favorite Subject:_____________________________________________

List two things unique about yourself:

________________________________________________________________________

________________________________________________________________________

Are you currently employed: yes no If employed, how many hours a week? ________________

If "yes", by whom? _______________________________________________________________

Do you require special accommodations? If so please indicate below or contact the Office of Student Life with more information. _______________________________________________

_____________________________________________________________________________

Current School & Community Activities

If you are a member of any organization, or involved in any activities, list them and your position or participation in them:

_____________________________________________________________________________

Honors, Awards, Achievements:

_____________________________________________________________________________

Essay Questions (You may use one additional sheet of paper per question)

Who is a leader you admire (contemporary or historical)? What makes him or her a leader?

_____________________________________________________________________________

What do you think is the biggest problem facing Glendale Community College or the local community?
What should be done to address it?

_____________________________________________________________________________

Signature of Applicant: __________________________________________________________

Once you have completed this application, you can:
Return it to Donna White
Associate Dean of Student Life,
fax it to 623.845.3020, or mail to: Student Leadership Experience
Office of Student Life
6000 West Olive Avenue
Glendale, AZ 85302